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NORTHSTAR MENTAL HEALTH
NPI 1790623619
Social Worker - Clinical in Davidsville, PA

Active since March 23, 2026
3159 CARPENTERS PARK RD, DAVIDSVILLE, PA 15928(814) 243-0414 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Northstar Mental Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHSTAR MENTAL HEALTH (NPI 1790623619) is a healthcare organization registered as a clinical in Davidsville, Pennsylvania and active in the NPI registry since March 2026. The organization lists Patricia Griesheimer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790623619
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameNORTHSTAR MENTAL HEALTH
Location Address3159 CARPENTERS PARK RDDavidsville, PA 15928-9223
Mailing Address3159 Carpenters Park RdDavidsville, PA 15928-9223 · (814) 243-0414
Phone(814) 243-0414
Organization SubpartNo
Authorized OfficialPatricia GriesheimerCeo · (814) 243-0414
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 23, 2026
✔ NPI 1790623619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
3159 CARPENTERS PARK RD, Davidsville, PA 15928
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northstar Mental Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Northstar Mental Health, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Jaimmie Witucki, LMSW
Clinical Social Worker
NPI 1326699182
625 E BIG BEAVER RD STE 200
Troy, MI 48083
(586) 863-4000
✔ PECOS✔ Accepts Medicare271 mi
Deepa Devan, PMHNP-BC
Nurse Practitioner
NPI 1245073378
50244 LIVINGSTON DR
Northville, MI 48168
(650) 772-8097
✔ PECOS282 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northstar Mental Health's NPI number?

The NPI number for Northstar Mental Health is 1790623619. It was assigned to this organization in the NPPES registry on March 23, 2026.

Where is Northstar Mental Health located?

Northstar Mental Health is located at 3159 Carpenters Park Rd, Davidsville, PA 15928. The listed phone number is (814) 243-0414.

What is Northstar Mental Health's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Northstar Mental Health enrolled in Medicare?

Yes. Northstar Mental Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northstar Mental Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Northstar Mental Health, in Clinical Social Worker and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northstar Mental Health accept?

Health plans from Blue Care Network of Michigan list Northstar Mental Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northstar Mental Health was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.